[气管插管后声带麻痹：全身麻醉的一种罕见并发症]
[Vocal cord paralysis after endotracheal intubation: an uncommon complication of general anesthesia].
作者信息
Hurtado Nazal Claudia, Araneda Vilches Andrea, Vergara Marín Carolina, García Contreras Karen, Napolitano Valenzuela Carla, Badía Ventí Pedro
机构信息
Pontificia Universidad Católica de Chile, Facultad de Medicina, División de Anestesiología, Santiago, Chile.
Pontificia Universidad Católica de Chile, Facultad de Medicina, División de Anestesiología, Santiago, Chile.
出版信息
Braz J Anesthesiol. 2018 Nov-Dec;68(6):637-640. doi: 10.1016/j.bjan.2017.12.011. Epub 2018 Apr 5.
BACKGROUND
General anesthesia is a safe, frequent procedure in clinical practice. Although it is very unusual in procedures not related to head and or neck surgery, vocal cord paralysis is a serious and important complication. Incidence has been associated with patient age and comorbidities, as well as the position of the endotracheal tube and cuff. It can become a dangerous scenario because it predisposes aspiration.
OBJECTIVES
To present a case and analyze the risk factors associated with increased risk of vocal cord paralysis described in the literature.
CASE REPORT
53 year-old diabetic man, who developed hoarseness in the postoperative period after receiving general anesthesia for an elective abdominal laparoscopic surgery. Otolaryngological evaluation showed left vocal cord paralysis.
CONCLUSIONS
Vocal cord paralysis can be a serious complication of general anesthesia because of important voice dysfunction and risk of aspiration. The management is not yet fully established, so prevention and early diagnosis is essential.
背景
全身麻醉在临床实践中是一种安全且常用的操作。尽管在与头颈部手术无关的操作中非常罕见，但声带麻痹是一种严重且重要的并发症。其发生率与患者年龄、合并症以及气管内导管和套囊的位置有关。它可能会引发危险情况，因为它易导致误吸。
目的
呈现一例病例并分析文献中所述的与声带麻痹风险增加相关的危险因素。
病例报告
一名53岁的糖尿病男性，在接受择期腹部腹腔镜手术全身麻醉后，术后出现声音嘶哑。耳鼻喉科评估显示左侧声带麻痹。
结论
由于重要的声音功能障碍和误吸风险，声带麻痹可能是全身麻醉的严重并发症。其治疗方法尚未完全确立，因此预防和早期诊断至关重要。
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